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Individual
CARRIE SMITH NOLD
Active
Individual
CARRIE SMITH NOLD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
1681
SC
363A00000X
Physician Assistant
Primary
7799
GA
Other
Enumeration date
09/22/2011
Last updated
01/31/2017
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